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Trial record 3 of 595 for:    Recruiting, Not yet recruiting, Available Studies | "Substance-Related Disorders"

Peer MI for Substance-using Emerging Adults

This study is currently recruiting participants.
Verified August 2017 by Douglas Smith, University of Illinois at Urbana-Champaign
Sponsor:
ClinicalTrials.gov Identifier:
NCT03264872
First Posted: August 29, 2017
Last Update Posted: August 29, 2017
The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Know the risks and potential benefits of clinical studies and talk to your health care provider before participating. Read our disclaimer for details.
Information provided by (Responsible Party):
Douglas Smith, University of Illinois at Urbana-Champaign
  Purpose
The main purpose of this project is to test whether Peer-Enhanced Motivational Interviewing (PMI) results in superior alcohol and marijuana use outcomes for emerging adults (EAs, ages 18-29) and their peers. Ninety peer dyads (total n = 180, ntarget client = 90, npeer = 90) are randomized to receive either Peer-Enhanced Motivational Interviewing (PMI) or Waitlist Control (WC).

Condition Intervention
Substance-Related Disorders Behavioral: Peer-Enhanced Motivational Interviewing Other: Waitlist Control

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: Peer-enhanced Motivational Interviewing for Emerging Adults With Risky Substance Use

Resource links provided by NLM:


Further study details as provided by Douglas Smith, University of Illinois at Urbana-Champaign:

Primary Outcome Measures:
  • GAIN Substance Problem Scale [ Time Frame: Baseline and every 2 weeks during 12 week post-intervention period ]
    a 16-item scale composed of lifetime symptoms of substance abuse, dependence, and substance-induced health and psychological disorders based on the DSM-IV


Secondary Outcome Measures:
  • GAIN Substance Frequency Scale (change) [ Time Frame: Baseline and every 2 weeks during 12 week post-intervention period ]
    The GAIN substance frequency scale (SFS) measures the percent of days of substance use and percent of days of related problems from such substance use. This scale encompasses a large number of classes of substances, found to be ideal for measurement among poly- substance using individuals.

  • Rutgers Alcohol Problem Index (change) [ Time Frame: Baseline and every 2 weeks during 12 week post-intervention period ]
    a 23-item self-administered screening tool (questionnaire) for assessing adolescent problem drinking. Respondents simply circle the number that corresponds to the number of times they have experienced each problem. Items can also be read aloud by an interviewer to clients with reading difficulties or it can be used as a springboard for a discussion of problems related to the client's alcohol use.

  • Significant Other Behavior Questionnaire [ Time Frame: Baseline and every 2 weeks during 12 week post-intervention period ]
    An instrument measuring the specific social support in terms of the patient's drinking. Assessments of the significant other's behavior in the presence of the patient drinking is provided by both the patient and significant other.


Estimated Enrollment: 180
Actual Study Start Date: March 8, 2017
Estimated Study Completion Date: October 31, 2021
Estimated Primary Completion Date: October 1, 2021 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: Peer-Enhanced Motivational Interviewing
Both dyad members, the target client and their peer support person, in this Peer-Enhanced Motivational Interviewing arm will receive separate one-hour Motivational Interviewing (MI) sessions with a trained counselor.
Behavioral: Peer-Enhanced Motivational Interviewing
Target clients in this Peer-Enhanced Motivational Interviewing arm will receive separate one-hour Motivational Interviewing (MI) sessions, in which the therapist reviews the target clients substance use behaviors in a non-confrontational manner, listens empathetically, and reinforces any client statements indicating a desire the change. In this arm, the therapist also presents the target client's peer with data about the extent of the target client's substance use, builds the peer's motivation to help their friend, and teaches the peer communication sills they can use to influence the target client's substance use behaviors.
Waitlist Control
Delayed Treatment.
Other: Waitlist Control
After the 12 week follow up period, if subjects in the Waitlist Control group desire to receive the Peer-Enhanced Motivational Interviewing intervention, that will be made available to them.

Detailed Description:

This project randomized peer dyads, consisting of one EA (Emerging Adult; 18-29 years old) with a substance use problem (i.e. target client) and one peer, to one of two conditions. In the Peer-Enhanced Motivational Interviewing (PMI) condition, target clients and peers will receive separate one-hour sessions of Motivational Interviewing (MI) , an empirically-supported treatment that helps individuals work through ambivalence about making changes in substance use. MI is thought to work because it is a non-confrontational intervention where a therapist empathetically reviews substance use behaviors, listens empathetically, and reinforces any client statements indicating a desire to change. With the 'peer' of each PMI dyad, the therapist presents peers with data about the extent of the target client's substance use, builds the peer's motivation to help their friend, and teaches the peer communication skills they can use to influence the target client's substance use. In the WC condition, target clients and peers can receive PMI after the study follow-up period. Both target clients and their peers are followed for 12 weeks post-intervention.

The main purpose of this project is to test whether Peer-Enhanced Motivational Interviewing (PMI) results in superior alcohol and marijuana use outcomes for emerging adults (EAs, ages 18-29) and their peers. Ninety peer dyads (total n = 180, ntarget client = 90, npeer = 90) are randomized to receive either Peer-Enhanced Motivational Intervie (PMI) or Waitlist Control (WC).

  Eligibility

Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Ages Eligible for Study:   18 Years to 29 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

For the Target Client

  • Score 5 or higher on the AUDIT-C measure and/or use alcohol or marijuana 13 days or more out of the past 90 days,
  • Have a friend that they are willing to refer to the study to be their 'peer' (support) and that peer agrees to participate,
  • Are able to complete baseline and follow-up assessments and have a valid email,
  • Are willing to be video recorded, and
  • Are fluent in English

For the Peer

  • Have weekly contact with the participating Target Client who referred them,
  • Are will to attend all study procedures (i.e. baseline assessment, intervention, follow up),
  • Are willing to be video record,
  • Are fluent in English

Exclusion Criteria:

For the Target Client

  • Are current students in the lead Investigator's classes,
  • Are seeking residential treatment at the time of the screening call,
  • Are incarcerated or court-ordered to receive treatment at the time of the screening call,
  • Use drugs besides marijuana or alcohol over 45 of the past 90 days.

For the Peer

  • Are current students in the lead Investigator's classes,
  • Are seeking residential treatment at the time of the screening call,
  • Are incarcerated or court-ordered to receive treatment at the time of the screening call,
  • Use drugs besides marijuana or alcohol over 45 of the past 90 days,
  • Are romantic partners of the Target Client
  Contacts and Locations
Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03264872


Contacts
Contact: Douglas C Smith, PhD 217-333-5308 smithdc@illinois.edu
Contact: Catharaine Fairbairn, PhD (217) 333-0631 cfairbai@illinois.edu

Locations
United States, Illinois
School of Social Work Recruiting
Urbana, Illinois, United States, 61801
Contact: Douglas C Smith, PhD    217-333-5308    smithdc@illinois.edu   
Sponsors and Collaborators
University of Illinois at Urbana-Champaign
Investigators
Principal Investigator: Douglas C Smith, PhD University of Illinois Urbana Champaign School of Social Work
  More Information

Responsible Party: Douglas Smith, Associate Professor, School of Social Work, University of Illinois at Urbana-Champaign
ClinicalTrials.gov Identifier: NCT03264872     History of Changes
Other Study ID Numbers: IRB17393
First Submitted: August 23, 2017
First Posted: August 29, 2017
Last Update Posted: August 29, 2017
Last Verified: August 2017
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Douglas Smith, University of Illinois at Urbana-Champaign:
Motivational Interviewing

Additional relevant MeSH terms:
Substance-Related Disorders
Chemically-Induced Disorders
Mental Disorders